• entries
    58
  • comments
    253
  • views
    6,319

Coming together, I think


avantgardener

604 views

Happy Father's Day!

 

Larry enjoyed seeing family this weekend - Cynthia, and Eric, Nicole and Lea. He has lots of balloons and cards and such, and seemed to like being made a fuss over.

 

I'm feeling like I knocked a major item off my "to do" list today, since I was able to hire a caregiver for Larry. Although it is tempting to go "under the table" and maybe pay less, I went through an agency, so there is insurance, and Workers Comp in place, and they do background checks. The price was affordable, and that's of course a big factor. A lot of the agencies are way over our budget, and I had to do a lot of shopping around to find this one, and it was worth doing.

 

The caregiver's name is Cecilia. She's a very sweet Phillipina woman. I met with her and with someone from the agency this morning at the nursing home, and then we came back to the house so that I could show her everything. She was able to meet Larry, and he seemed to like her. Her English is excellent, which is important given Larry's communication issues - it's hard enough for him without a language barrier on top of it. She does not drive, but that's OK since Larry needs special transportation at this point anyway (he can't just get into a car, and needs something that's handicapped equipped. Cecilia will come Monday through Friday from 7AM to 7PM, so I'll be able to work, and stay late if I need to, and run errands etc. after work. She'll prepare all of his meals, and cook our dinner (!), do light housekeeping, water the yard, and in general take care of things at home. If she doesn't work out they'll send someone else, but I felt pretty good about her and I'm hopeful that I can stop worrying about this issue for now.

 

Our dear friend Albert is planning to come next week and finish the Web cam installation. It is a pretty big job, and we're very lucky to have such wonderful friends that are willing to do all this work. It will be such a relief knowing that I can keep an eye on things from a distance. It sounds like I'll even be able to view the camera feed from my cell phone, so I'll always know what's going on even if I'm out of the office. Amazing! He is going to put cameras throughout the house, so I'll pretty very connected to what's happeneing at home.

 

Eric was here Saturday...again...and transferred Trash Mountain into the dumpster. I thought the dumpster was much bigger than what we would need, but it filled right up. While he worked outside I spent some time going through the closets, and Larry's bathroom, and cleared all of that out too. I can't believe some of the stuff we thought we should save - just the number of empty cardboard boxes that various products came in was staggering. My dear husband never met a box he didn't like, and I guess he has moved so many times in his life that he wanted to keep them all so that we'd have them next time we move. Either that or he just has a cardboard fetish, I really do not want to speculate.

 

So, they'll come next week and tow away the dumpster and that will be done. The caregiver is hired. This week I'll find out exactly what kind of medical supplies I need to buy and will go to a medical supply store and take care of that. I also need to go to the nursing home this week and get training on Larry's care and therapies, and how to give injections, and care for the catheter etc.; none of this is rocket science, but I have to learn. Cecilia will come too, so both of us will be up to speed on what to do. She already knows how to do most if not all of this stuff, and I'm sure she'll be teaching me a lot of things. Cecilia is not a CNA or an LVN or a licensed person; she just takes care of people and says that she's worked with stroke victims before. Between the two of us I think we will figure it out.

 

Once Larry's home we'll figure out the schedule for the visiting therapists and how to get the transport in place for outpatient care. I'm not going to worry about that this week, too much else going on.

 

My sister in law, Judy, will be here for a few days right after Larry's discharged, so she'll be able to help orient Cecilia and get the construction guys started on the bathroom. It will be so helpful to have her here to get everything off to a good start. I wish I did not have to work, but after taking off so much time already I just can't take any more, and having someone here to make sure everything is OK will be a huge comfort.

 

I spent most of the day today doing yard work, so that it won't look too feral when Larry comes home. Our sunflowers are as tall as the garage, and I was able to pick a great big bouquet of them today. They look very cheerful, and remind me that things are starting to fall into place - I still have a lot of anxiety, and there are some bad days, but a lot is already behind us and eventually this will get easier. I am so fortunate to have a good job that pays enough that we can do this without going into bankruptcy. I can't contribution to my 401(k) for a while, but at least we can hang on to the house and pay our bills and not go into debt. So many are not as lucky, and I'm grateful for that.

 

If anyone has a "coming home checklist" that they can share that would be great. I've gone online looking and can't find one. The SNF may have one, and I've asked, but the more information I can get the better. I'm sure I have forgotten a lot of things!

 

Thanks.

-Janine

5 Comments


Recommended Comments

Janine,

 

I'm so glad to hear things are falling into place for you and Larry. You are sounding much more calm and in control with each blog entry

 

(((hugs)))

Link to comment
Guest lwisman

Posted

Janine,

 

I am going to look through my library of stroke books and see if I can find a list. In the meantime you might want to have a look at The Stroke Network's Caregiver Handbook. It was put together by members several years ago and may have some helpful info for you.

 

Caregivers Handbook

Link to comment

I am so glad you found a good aide and that you have reached a decision on what to do. It is so hard to know what is right but it sounds like you are both at peace with the idea so that is a good start.

 

In terms of things you may need. These are things we got in no particular order:

 

ramps for any steps (even a single step can be a hazard and they sell 1/2 inch to 2 inch attachable ramps;- also measure all of the doorways- we needed to take one of the doors off to make it wheelchair accessible;

 

wheelchair;

 

hospital bed

 

hospital bed sheets- at least two sets

 

those square bed pads they use on the sheets for accidents- these are necessary to help turn and position Larry on the bed. We found that the cloth ones were much better than the disposable ones that tore under Mom's 105 pounds! You will want at least two.

 

tv with remote for bedroom;

 

cd player with remote for bedroom

 

good quality battery operated baby monitors. Not electric- you want to abe able to carry them with you through the house

 

battery recharger and rechargeable batteries (truly shocking how many of these you go through if the monitor is on 24 hours)

 

plastic basins for bed baths

 

a lot more cheap washcloths than you have or think you will ever need to use- the packages of 12 or 24 are great. You really do need 3-4 for a good bed bath and you are not going to want to do laundry every single day!

 

hand held shower nozzle for giving showers (make sure it is long enough for you to use)

 

seat for shower

 

grab bars for shower and toilet

 

thing to make the toilet seat taller ( I have no idea what this is called but they have them at any medical supply place)

 

sippy cups if he has trouble holding cups

 

straws ( often easier to drink with one than to tip the head back)

 

pill dispenser ( most aides can take the pills out of the dispenser but are not allowed to take them out of the bottles )

 

pill cutter if he takes any 1/2 pills

 

depends and wipes if incontinence is an issue

 

some kind of a&d or other ointment ( we use Balmex) if incontinence is an issue and to avoid bedsores. Something that is odorless is less humiliating for him.

 

lotion for dry skin I am not sure why but we use a lot of this

 

plastic disposable gloves- the aides are trained to wear them whenever they touch the patient ( these and the depends are cheaper to order in bulk online once you figure out what you like);

 

recliner with hand held remote to operate-- pricy so you may want to wait on that. We have one so my Mom doesn't need to sit in the wheelchair all of the time and she can relax in the living room with family

 

cushion for the wheelchair if he will spend a fair amount of time in it to avoid bedsores;

 

roll up table (like they have in the nursing home) to use by the bed or with the wheelchair to keep stuff on;

 

List of recipes and like/dislikes for the aide to use with Larry- especially if he has difficulty communicating;

 

several laminated emergency contact number lists -- one by the phone, one in the kitchen, one in larry's room....

 

a medical history in case of an emergency when you are out- pertinent surgeries, allergies.... We keep one on the fridge and another over the phone.

 

If the aide does not drive, an ongoing shopping list. and a place to keep it. ( you might also consider ordering groceries via peapod or something like that-- one less errand for you- although you will still end up going to the store a few times a week);

 

a delivery account with a pharmacy if Larry is on a fair amount of meds and OTC stuff.... It is hard to get to the pharmacy on top of everything else.

 

placemats to keep the plates from sliding while he is feeding himself if this is an issue

 

depending on how neat an eater he currently is -- something to keep his clothes clean when he feeds himself. Mom was humilated by bibs ( and who could blame her) so we have a few different aprons that she can wear if we are eating something hard like soup (she had previously lost the use of her right hand, and the stroke affected the left so eating can be frustrating and messy).

 

a rocker knife so he can cut his own food

 

a plastic wipeable one month calendar (do you know what I am talking about- you can get them at any staples or office depot and write on them in marker, and than wipe them off for the next month) to put in Larry's room. You can write the doctors appointments, pt dates, any planned visitors.... so he, you and the aide all know what is going to happen-- I think it can be really hard to keep a sense of what day it is when you are pretty much homebound and this helped my Mom a lot. It also helps us keep our schedule straight-- and keeps her involved;

 

easy to open (and I do mean easy- try doing it with your non-master hand) plastic containers for Larry to keep snacks, treats in. There is nothing that makes you feel more helpless than to want a cough drop in the middle of the night and have to call for it, or to want some dried fruit during the day and to feel that you are bothering someone;

 

a few things for Larry to keep handy on his bedside tray or wheel chair tray -- that he can use himself- kleenex, chapstick, treats like gorp or sunflower seeds; small photo albums, or pt stuff like putty... The idea is for him to have things handy that he can do on his own. During the day my Mom has her phone, her remote, kleenex, blistex, gorp, juice, her laminated list of phone numbers, her copy of her schedule,her monitor, and a hand strengthener.... At night she gets the remote for her book on CD in case she can't sleep, hard candies, kleenex, the monitor to call for help, and the control to adjust the bed.... This way she has the independance for at least some of the things she knows she will need, and there is a sense of security involved in knowing that she can do these things for herself. You and Larry will figure out what makes sense for him but it is nice to start thinking about having a few things available.

 

Finally, you might want to fix up a special place for the aide to keep her things that is out of your way and gives her some privacy. A place in the fridge, a place for magazines.... I know she will be working but there swill be a fair amount of down time so it makes sense to try to make her feel at home.

 

I am surre I am forgetting some stuff and that you won't need all of this but....

 

GOOD LUCK!

 

 

 

 

Link to comment

You are all so helpful. There was some great information here - many items that I had not thought of. I did not know, for example, that there was even such a thing as a rocker knife. And the white-board calendar is a great idea, and the washcloths. I am so glad he is coming home, and so scared at the same time! I feel like the more stuff I can do to prepare the better I will feel, and this really helped.

Link to comment
Guest lwisman

Posted

Janine,

 

I will send you a pm so I am sure you have this info. One of the very best books I have read on caregiving is called "The Comfort of Home for Stroke." Below is a link to the review I wrote in the newsletter in March 2007. At the bottom of the review is a link to Amazon. There you can read what others have to say.

 

The Comfort of Home

Link to comment
Guest
Add a comment...

×   Pasted as rich text.   Paste as plain text instead

  Only 75 emoji are allowed.

×   Your link has been automatically embedded.   Display as a link instead

×   Your previous content has been restored.   Clear editor

×   You cannot paste images directly. Upload or insert images from URL.